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Organization

MEMORY DOC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRACY ALLOWAY PHD (PSYCHOLOGIST)
(904) 860-4813
Entity
Organization

Contact information

Practice address
936 2ND AVENUE S, ATLANTIC BEACH, FL 32250
(904) 860-4813
(904) 490-8561
Mailing address
1015 ATLANTIC BLVD # 156, ATLANTIC BEACH, FL 32233-3313
(904) 860-4813
(904) 490-8561

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
09/17/2021
Last updated
01/02/2025
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